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Individual

DR. ROBERT K MECKSTROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
70 STONY POINT RD. ST.E, SANTA ROSA, CA 95401-4460
(707) 575-9200
(707) 575-4546
Mailing address
628 PROGRESS ST STE E, WEST BRANCH, MI 48661-9383
(866) 878-6558

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
36395
CA
122300000X
Dentist
D1036395
CA
1223D0001X
Public Health Dentistry
Primary
2901022115
MI

Other

Enumeration date
02/07/2007
Last updated
09/11/2023
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